Pub Date : 2023-04-26DOI: 10.29011/2575-9760.001797
{"title":"https://www.gavinpublishers.com/article/view/open-surgery-for-perineal-hernia-after-abdominoperineal-resection-a-single-center--experience-with-a-biological-mesh","authors":"","doi":"10.29011/2575-9760.001797","DOIUrl":"https://doi.org/10.29011/2575-9760.001797","url":null,"abstract":"","PeriodicalId":92684,"journal":{"name":"Journal of surgery (Lisle, IL)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136381036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-20DOI: 10.29011/2575-9760.001790
Background: Systemic vasculitis resulting in inflammation of vessel walls may progress to ischemic damage of major dependent organs, including the gastrointestinal system. Polyarteritis nodosa (PAN) is a vasculitis that is known to present with necrotizing vasculitis in small-medium arteries, leading to life-threatening injury and surgical emergencies. We report the case of a young patient who presented with an acute abdomen and perforation of the small intestine confirmed to be caused by a small-medium vessel vasculitis with PAN as the leading diagnosis. Case Presentation: A 27-year-old African American male with a past medical history of Stage 4 CKD and uncontrolled hypertension presented to the ED complaining of generalized abdominal and bilateral flank pain. He was found to have pneumoperitoneum on abdominal imaging requiring an emergent exploratory laparotomy found to have multiple
{"title":"A Sequela of Gastrointestinal Perforation Due to Small-Medium Vessel Vasculitis","authors":"","doi":"10.29011/2575-9760.001790","DOIUrl":"https://doi.org/10.29011/2575-9760.001790","url":null,"abstract":"Background: Systemic vasculitis resulting in inflammation of vessel walls may progress to ischemic damage of major dependent organs, including the gastrointestinal system. Polyarteritis nodosa (PAN) is a vasculitis that is known to present with necrotizing vasculitis in small-medium arteries, leading to life-threatening injury and surgical emergencies. We report the case of a young patient who presented with an acute abdomen and perforation of the small intestine confirmed to be caused by a small-medium vessel vasculitis with PAN as the leading diagnosis. Case Presentation: A 27-year-old African American male with a past medical history of Stage 4 CKD and uncontrolled hypertension presented to the ED complaining of generalized abdominal and bilateral flank pain. He was found to have pneumoperitoneum on abdominal imaging requiring an emergent exploratory laparotomy found to have multiple","PeriodicalId":92684,"journal":{"name":"Journal of surgery (Lisle, IL)","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135708323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-27DOI: 10.29011/2575-9760.001763
We report a case of a 19 year old presenting with a traumatic fracture dislocation of the knee joint. Managed initially in an external fixator, this patient was left with a malunited depressed articular fragment of the medial compartment with associated multi-ligament knee injury. A novel technique using four patient specific instrumentation guides to correct both intra and extra-articular deformities and multi-ligament injuries is described.
{"title":"Intra and Extra Articular Proximal Tibial Osteotomies combined with Multi-Ligament Reconstruction using Patient Specific Instrumentation – a Rare Case Report","authors":"","doi":"10.29011/2575-9760.001763","DOIUrl":"https://doi.org/10.29011/2575-9760.001763","url":null,"abstract":"We report a case of a 19 year old presenting with a traumatic fracture dislocation of the knee joint. Managed initially in an external fixator, this patient was left with a malunited depressed articular fragment of the medial compartment with associated multi-ligament knee injury. A novel technique using four patient specific instrumentation guides to correct both intra and extra-articular deformities and multi-ligament injuries is described.","PeriodicalId":92684,"journal":{"name":"Journal of surgery (Lisle, IL)","volume":"221 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135950040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-18DOI: 10.29011/2575-9760.001713
Purpose The objective of the study is to prospectively assess surgical stress and postoperative pain after myomectomy performed by laparoscopy versus laparotomy Methods This prospective, matched, multi-center observational study, took place in the Gynecological Department of the “Papageorgiou" University Hospital and the Centre for Gynecological Endoscopy, “Diavalkaniko” Hospital. Sixty women with symptomatic growth of known uterine leiomyomas or leiomyomas compromising the shape of the uterus participated in the study. Thirty women underwent laparoscopic myomectomy
{"title":"Prospective-Controlled Assessment of Stress Hormones and Pain In Patients Undergoing Myomectomy as Performed by Laparoscopy Against Laparotomy","authors":"","doi":"10.29011/2575-9760.001713","DOIUrl":"https://doi.org/10.29011/2575-9760.001713","url":null,"abstract":"Purpose The objective of the study is to prospectively assess surgical stress and postoperative pain after myomectomy performed by laparoscopy versus laparotomy Methods This prospective, matched, multi-center observational study, took place in the Gynecological Department of the “Papageorgiou\" University Hospital and the Centre for Gynecological Endoscopy, “Diavalkaniko” Hospital. Sixty women with symptomatic growth of known uterine leiomyomas or leiomyomas compromising the shape of the uterus participated in the study. Thirty women underwent laparoscopic myomectomy","PeriodicalId":92684,"journal":{"name":"Journal of surgery (Lisle, IL)","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135481495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01Epub Date: 2018-07-31DOI: 10.29011/2575-9760.001156
Miriam C Morey, Kenneth M Manning, Ying Guo, Shelley R McDonald, Mitchell T Heflin, Kathryn N Porter Starr, Richard Sloane, Nancy L Loyack, Sandhya Lagoo-Deenadayalan
Objectives: Impending surgery presents a high risk for older adults given their vulnerability to adverse outcomes. New approaches to peri-operative care bring together surgeons, geriatricians, and other Multidisciplinary specialties to co-manage the geriatric surgical patient. However, few have incorporated interventions to promote physical activity (PA) throughout this period. We describe findings from two quality improvement (QI) initiatives that adopted the use of PA trackers to monitor and promote PA during the peri-operative period.
Methods: QI project within Perioperative Optimization of Senior Health (POSH) clinic at two medical centers (Duke and Durham Veterans Healthcare System (VA)) in Durham, North Carolina. Participants included 38 adults, ages 65+. Participants from POSH-at-Duke received PA trackers with one-time bundled advice from the provider team on nutrition, activity, pain management, medications and other relevant education prior to surgery. Participants from POSH-at-VA received the same one time bundled advice in addition to a visit with an exercise health coach who provided PA guidance followed by weekly PA telephone counseling throughout entire peri-operative period to 4-weeks post-surgery. Primary outcome was daily step counts.
Results: Ninety three percent of participants approached agreed to use PA trackers. POSH-at-Duke had mean daily step counts of 3,951 at baseline, 4,437 two days prior to surgery, and 1,838 at 4-week post-operative visit as opposed to POSH-at-VA with 2,063 steps at baseline, 5,452 two days prior to surgery, and 4,236 at 4-week post-operative visit, p=0.049 for trajectory differences.
Conclusion: PA trackers coupled with appropriate continuous PA counseling has a potential utility in promoting resilience in the geriatric surgical candidate.
{"title":"Physical Activity Trackers: Promising Tools to Promote Resilience in Older Surgical Patients.","authors":"Miriam C Morey, Kenneth M Manning, Ying Guo, Shelley R McDonald, Mitchell T Heflin, Kathryn N Porter Starr, Richard Sloane, Nancy L Loyack, Sandhya Lagoo-Deenadayalan","doi":"10.29011/2575-9760.001156","DOIUrl":"https://doi.org/10.29011/2575-9760.001156","url":null,"abstract":"<p><strong>Objectives: </strong>Impending surgery presents a high risk for older adults given their vulnerability to adverse outcomes. New approaches to peri-operative care bring together surgeons, geriatricians, and other Multidisciplinary specialties to co-manage the geriatric surgical patient. However, few have incorporated interventions to promote physical activity (PA) throughout this period. We describe findings from two quality improvement (QI) initiatives that adopted the use of PA trackers to monitor and promote PA during the peri-operative period.</p><p><strong>Methods: </strong>QI project within Perioperative Optimization of Senior Health (POSH) clinic at two medical centers (Duke and Durham Veterans Healthcare System (VA)) in Durham, North Carolina. Participants included 38 adults, ages 65+. Participants from POSH-at-Duke received PA trackers with one-time bundled advice from the provider team on nutrition, activity, pain management, medications and other relevant education prior to surgery. Participants from POSH-at-VA received the same one time bundled advice in addition to a visit with an exercise health coach who provided PA guidance followed by weekly PA telephone counseling throughout entire peri-operative period to 4-weeks post-surgery. Primary outcome was daily step counts.</p><p><strong>Results: </strong>Ninety three percent of participants approached agreed to use PA trackers. POSH-at-Duke had mean daily step counts of 3,951 at baseline, 4,437 two days prior to surgery, and 1,838 at 4-week post-operative visit as opposed to POSH-at-VA with 2,063 steps at baseline, 5,452 two days prior to surgery, and 4,236 at 4-week post-operative visit, p=0.049 for trajectory differences.</p><p><strong>Conclusion: </strong>PA trackers coupled with appropriate continuous PA counseling has a potential utility in promoting resilience in the geriatric surgical candidate.</p>","PeriodicalId":92684,"journal":{"name":"Journal of surgery (Lisle, IL)","volume":"9 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516502/pdf/nihms-988072.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37253610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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